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1851676019
DARLENE NICOLE AMESBURY
ST AUGUSTINE, FL
NPI
1851676019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 9421)
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
Miss DARLENE NICOLE AMESBURY MS
3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086-6466
Phone number: 904-797-3115
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Mailing Address
Miss DARLENE NICOLE AMESBURY MS
3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086-6466
Phone number: 904-797-3115
Copy
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